School of Health Management, Southern Medical University, Guangzhou, China.
School of Public Health, Southern Medical University, Guangzhou, China.
Front Public Health. 2022 Sep 26;10:959700. doi: 10.3389/fpubh.2022.959700. eCollection 2022.
Multimorbidity has become a global public health concern that can cause serious damage to the health status of older adults. This study aimed to investigate the impact of socioeconomic status (SES) and sleep quality on the prevalence of multimorbidity in older adults, thus providing a reference for reducing the risk of the prevalence of multimorbidity and improving the health of older adults.
A multi-stage random sampling method was used to conduct a questionnaire survey on 3,250 older adults aged 60 years and above in Shanxi Province, China. The chi-square test and multiple logistic regression models were used to analyze the association of SES and sleep quality with the prevalence of multimorbidity of older adults.
The prevalence of multimorbidity was 30.31% in older adults aged 60 years and above in Shanxi Province, China. After adjusting for confounders, very low SES (OR = 1.440, 95% CI: 1.083-1.913) and poor sleep quality (OR = 2.445, 95% CI: 2.043-2.927) were associated with the prevalence of multimorbidity. Older adults with low SES and poor sleep quality had the highest risk of the prevalence of multimorbidity (OR = 3.139, 95% CI: 2.288-4.307).
SES and sleep quality are associated with the prevalence of multimorbidity in older adults, and older adults with lower SES and poorer sleep quality are at higher risk for the prevalence of multimorbidity.
多病共存已成为全球公共卫生关注的问题，会对老年人的健康状况造成严重损害。本研究旨在探讨社会经济地位（SES）和睡眠质量对老年人多病共存患病率的影响，为降低多病共存患病率风险和改善老年人健康提供参考。
采用多阶段随机抽样方法，对山西省 3250 名 60 岁及以上老年人进行问卷调查。采用卡方检验和多因素 logistic 回归模型分析 SES 和睡眠质量与老年人多病共存患病率的关系。
山西省 60 岁及以上老年人多病共存患病率为 30.31%。调整混杂因素后，SES 极低（OR=1.440，95%CI：1.083-1.913）和睡眠质量差（OR=2.445，95%CI：2.043-2.927）与多病共存患病率相关。SES 较低和睡眠质量较差的老年人多病共存患病率的风险最高（OR=3.139，95%CI：2.288-4.307）。
SES 和睡眠质量与老年人多病共存患病率相关，SES 较低和睡眠质量较差的老年人多病共存患病率风险更高。
